Patel Maitray D, Dubinsky Theodore J
Department of Radiology, Mayo Clinic, Scottsdale, AZ 85259, USA.
Ultrasound Q. 2007 Sep;23(3):177-87. doi: 10.1097/RUQ.0b013e318151fc31.
Ultrasound is the most appropriate first imaging test to perform when gynecologic pathology is suspected based on clinical history or physical examination, and imaging is required. However, as a practical matter, a woman's first imaging test evaluating her pelvis may be a computed tomographic (CT) scan; this is especially true when these women present to an acute care facility or emergency department with chronic or acute lower abdominal pain. Radiologists need to be able to recognize the CT features of a variety of gynecologic conditions. However, just as importantly, radiologists should have a firm understanding of general principles that help to clarify when reimaging the pelvis with ultrasound is indicated; furthermore, a clear understanding of these principles helps to focus the sonologist's attention on the sonographic features that will be most helpful in further characterization of abnormal CT findings. This pictorial essay discusses these general principles that clarify when ultrasound is and is not helpful in reimaging the female pelvis after CT.
当根据临床病史或体格检查怀疑存在妇科病变且需要进行影像学检查时，超声是最适合首先进行的影像学检查。然而，实际上，女性首次评估其骨盆的影像学检查可能是计算机断层扫描（CT）；当这些女性因慢性或急性下腹痛前往急症护理机构或急诊科就诊时尤其如此。放射科医生需要能够识别各种妇科疾病的CT特征。然而，同样重要的是，放射科医生应该对一些通用原则有深入理解，这些原则有助于明确何时需要用超声对骨盆进行再次成像；此外，清楚理解这些原则有助于使超声科医生将注意力集中在对进一步明确CT异常表现最有帮助的超声特征上。这篇图文并茂的文章讨论了这些通用原则，这些原则阐明了CT检查后超声对女性骨盆再次成像何时有用、何时无用。
